How much rates vary
Facilitymedian $324 · 10th to 90th $200 to $2,399Professionalmedian $240 · 10th to 90th $155 to $417
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $239.88 | Professional | None | $117.49 | $154.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $380.19 | Facility | None | $181.97 | $239.88 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $426.58 | Professional | None | $165.96 | $263.03 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $478.63 | Professional | None | $204.17 | $295.12 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $7,943.28 | Facility | None | $223.87 | $389.05 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $371.54 | Professional | None | $144.54 | $229.09 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $363.08 | Facility | None | $204.17 | $316.23 | $363.08 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $389.05 | Facility | None | $151.36 | $245.47 | $389.05 |
Providence Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $446.68 | Professional | None | $120.23 | $269.15 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,454.71 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $363.08 | Professional | None | $223.87 | $331.13 | $363.08 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $457.09 | Professional | None | $173.78 | $269.15 | $457.09 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | 54 · Surgery only | $117.49 | $117.49 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $23.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $77.62 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $30.90 | $47.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | 54 · Surgery only | $117.49 | $117.49 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $23.99 |
Where Oregon sits
The same service costs 3.3 times more in Alaska than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 7th of 51
$263
AK $468VA $141
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.